时机是一切:优化母体RSV免疫通过ANC出席模式和时间在越南的越南的时间
Sophia Knudson1, Dung Tham Chi2, Hoang Thien Thanh3
1Center for Vaccine Innovation and Access, PATH, 437 N 34th Street, Seattle, WA, 98103, United States of America. soph.knudson@gmail.com.
针对呼吸道同胞病毒 (RSV) 的孕产妇免疫是越南婴儿健康的关键. 调整疫苗接种时间与产前护理 (ANC) 访问,特别是在初级设施,对于计划的成功至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
背景情况:
- 对呼吸道同胞病毒 (RSV) 的孕产妇免疫是保护婴儿免受严重呼吸道感染的重要策略.
- 成功实施取决于将疫苗管理与产前护理 (ANC) 访问时间表协调一致,特别是在资源有限的环境中,如越南.
研究的目的:
- 评估越南不同级别医疗保健机构中产前护理 (ANC) 访问模式与呼吸道同胞病毒 (RSV) 疫苗资格窗口的协调程度.
- 为优化母体RSV免疫计划交付的战略提供信息.
主要方法:
- 一项回顾性横截面研究分析了2023年越南15个卫生机构的7,349名妇女的ANC注册数据.
- 评估了ANC访问时的妊娠年龄,访问频率,以及在越南 (24-36周) 和世卫组织 (≥28周) RSV疫苗资格窗口内的出席率.
主要成果:
- ANC的出席率和频率因设施级别而异,主要设施显示较早和更频繁的访问.
- 与越南目前的窗口 (24-36周) 相比,在世卫组织推的资格窗口 (≥28周) 下,所有设施级别的孕产妇RSV疫苗接种覆盖率潜力大幅增加.
- 由于更早和更频繁的ANC参与,主要设施显示出更高的RSV疫苗接种潜力.
结论:
- 将母体RSV免疫策略与现有的ANC出勤模式结合起来,对于越南有效的计划推广至关重要.
- 初级医疗保健设施对于母体疫苗接种成功至关重要,因为它们与孕妇的持续接触.
- 采用更广泛的世卫组织资格窗口,加强早期ANC咨询,改善医疗保健数据连续性对于公平的疫苗接入至关重要.
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